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Crossword Puzzles: |
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A 59 year old male presents to the ED after an episode of passing out. He states that he had shortness of breath, nausea and chest pain for the last 8 hours. He has a PMHx of DM, HTN, and is a smoker. What does the EKG show? Rate: 50s Rhythm: sinus but irregular Axis: normal PR: progressively prolonged QRS: narrow complex, occasionally not conducted after a p wave ST: t-wave flat in aVF and V2, inverted in III, V1 and V3 EKG diagnosis: second degree AV block, type I Clinical diagnosis: Chest pain r/o acute MI ( AV block often associated with inferior MI) |